Accuracy of clinical indicators of nursing diagnosis Fatigue in patients with cardiac alterations
Nursing Diagnosis; Fatigue; Cardiology; Nursing
Clinical indicators are important for nursing education and teaching. The identification of these components occurs through studies of diagnostic accuracy. Thus, the present study aims to analyze the accuracy measures of the clinical indicators of nursing diagnosis Fatigue in patients with cardiac alterations. This is a cross-sectional, diagnostic accuracy study. The sample is composed of 208 patients hospitalized in a university hospital located in the northeast of Brazil, selected for convenience, consecutively. The instrument of data collection is a structured interview and physical examination script. In addition, to support the data collection, a protocol was used with the conceptual and operational definitions of the components of the diagnosis studied. The research was approved by the ethics committee in research of the unit responsible, under number 2.517.527 and Certificate of Presentation for Ethical Appreciation: 80923217.7.0000.5537. Preliminary results show that the majority of the clientele investigated were male (69.9%), brown (72.3%), companion (66.3%) from the interior of the state (68.7%), practicing a religion (88.9%) and retired / benefited (69.9%). The mean age was 56 years, with the most frequent medical diagnosis being heart failure (43.3%). The most prevalent clinical indicators were: Increased physical symptoms (96.3%), Impaired ability to maintain the usual level of physical activity (94.0%), Ability to maintain habitual routines (86.7% ), Non-restorative sleep pattern (69.9%), and, Increased need for rest (67.5%). Thus, it is concluded, based on the initial results, that the components of the Fatigue diagnosis are present in the hospitalized clientele with cardiac alteration. Also, it is expected that, based on the identification of accurate clinical indicators, the diagnostic inference of the nurse will be facilitated in clinical practice.